Trauma, Critical Care
& Acute Care Surgery 2019

Medical Disaster Response
2019

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Exhibitor Registration

CHECK ONE – Please reserve exhibits space for:

  Before 1/7/2019 After 1/7/2019
TRAUMA, CRITICAL CARE & ACUTE CARE SURGERY 2019 $2,500 $3,200
MEDICAL DISASTER RESPONSE 2019 $1,000 $1,400
COMBO 2019 $2,800 $4,000
 
  Additional Purchases
Attendee Mailing List Pre-Conference (ONE TIME USE)   $ 1500
Attendee Mailing List Post Conference (ONE TIME USE)   $ 1500
Rolling Plasma Screen Add or Job Posting   $ 750
Tote Bag Insert   $ 1500
 
Total: $
 
(Please indicate any firm(s) you would NOT like to be next to or across from)

IF YOU PREFER TO PAY BY CHECK, COMPLETE THE MAIL IN APPLICATION AND MAIL WITH CHECK TO:    Trauma & Critical Care
Mail Application & Check to: Mary Allen, Program Coordinator
Trauma and Critical Care Foundation
P.O. Box 35850
Houston, Texas 77235

To Download:

* Reservation Authorized By:
* Telephone:
* Fax:
* Email:
* Firm Name to Appear on Sign:
* Address to mail Exhibit Info:
* City:
* State:
* Zip:
Representative:
Correspondence Information:
Address for Correspondence:
Correspondence City:
Correspondence State:
Correspondence Zip:
* Description of your company/product (will be printed in program) – must be submitted for your application to be considered.

 

Please select YES here if you wish an expanded role in the conference and we will send you additional information

Expanded Role in the Conference:
Payment Information

 

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